David L Miller, D.C.
Individual provider Active NPI Chiropractor · Sweet Home, OR
NPI 1003947235 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003947235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1154 (OR)
- Practice address
- 1200 10TH Ave
Sweet Home, OR 97386-2108 - Phone
- (541) 367-2225
- Fax
- (541) 367-2225
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 10TH Ave
Sweet Home, OR 97386-2108
Phone (541) 367-2225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090410000125 | OR | Practitioner - Chiropractic | 1850448747 | Practice locations: Sweet Home, OR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154 | OR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1154 | OR | Yes |
Addresses
Primary practice location
1200 10TH Ave
Sweet Home, OR 97386-2108
Mailing address
1200 10TH Ave
Sweet Home, OR 97386-2108
Phone (541) 367-2225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0399 | Other | OR | PACIFICSOURCE |
Other providers in Sweet Home, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.